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CYPRESS OF CHARLOTTE CLUB INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CYPRESS OF CHARLOTTE CLUB INC (EIN 56-2103741)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201203199349301600
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-14T08:57:54-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN420714325EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1230 N ELM ST STE 1100AddressLine1
CityGREENSBOROCity
StateNCState
ZIP Code27401ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN562103741EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE CYPRESS OF CHARLOTTE CLUB INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCYPRNameControl
Phone7047145500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13442 CYPRESS CLUB DRAddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28210ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGEORGE M CHATFIELD IIIName
TitleEXECUTIVE DIRECTORTitle
Phone7047145500Phone
Date Signed2012-11-07DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameADRIENNE MCKINNEYName
PTINP00819656PTIN
Phone3362724551Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1THE CYPRESS OF CHARLOTTEBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonGEORGE M CHATFIELD IIINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13442 CYPRESS CLUB DRAddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28210ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12805459GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.THECYPRESS.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OTHE CYPRESS OF CHARLOTTE CLUB, INC. WAS ESTABLISHED AS A NON-PROPIETARY, NON-SHAREHOLDER, NOT-FOR-PROFIT MUTUAL BENEFIT CORPORATION UNDER THE LAWS OF NC, EXCLUSIVELY TO MAINTAIN HOUSING FOR THE ELDERLY, TO DIRECTLY PROVIDE HEALTHCARE FOR THE PHYSICAL AND MENTAL WELL-BEING OF ITS RESIDENTS, TO PROVIDE FINANCIAL SECURITY FOR ITS RESIDENTS WITH POLICIES PERMITTING RESIDENTS TO REMAIN AT THE CYPRESS EVEN THOUGH THEY MAY RUN OUT OF FUNDS, AND TO OPERATE THE FACILITY AT ITS LOWEST FEASIBLE AND ACCEPTABLE COST.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees391TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11121927ProgramServiceRevenuePriorYear
Program Service Revenue CY11439749ProgramServiceRevenueCY
Investment Income Prior Year83313InvestmentIncomePriorYear
Investment Income Current Year116682InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year11205240TotalRevenuePriorYear
Total Revenue Current Year11556431TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6681646SalariesEtcPriorYear
Salaries Etc Current Year6875087SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4638608OtherExpensePriorYear
Other Expenses Current Year4761232OtherExpensesCurrentYear
Total Expenses Prior Year11320254TotalExpensesPriorYear
Total Expenses Current Year11636319TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-115014RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-79888RevenuesLessExpensesCY
Total Assets BOY4736220TotalAssetsBOY
Total Assets EOY4909306TotalAssetsEOY
Total Liabilities BOY2695530TotalLiabilitiesBOY
Total Liabilities EOY3026605TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2040690NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1882701NetAssetsOrFundBalancesEOY
Mission DescriptionTHE CYPRESS OF CHARLOTTE, CHARLOTTE'S PREMIER CONTINUING CARE RETIREMENT COMMUNITY, IS COMMITTED TO ENHANCING THE LIVES OF OUR MEMBERS BY PROVIDING EXCEPTIONAL SERVICE AND PEACE OF MIND IN AN UPSCALE ENVIRONMENT.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense9089301Expense
Revenue11439749Revenue
DescriptionTHE CYPRESS OF CHARLOTTE CLUB PROVIDES SERVICES TO ELDERLY RESIDENTS LIVING IN 310 PRIVATELY OWNED RESIDENTIAL UNITS. RESIDENTS RECEIVED ASSISTED LIVING, INCLUDING HEALTHCARE, FOR PHYSICAL AND MENTAL WELL BEING.Description
Total Program Service Expense9089301TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109645NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees391NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GEORGE M CHATFIELD IIIBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7047145500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13442 CYPRESS CLUB DRAddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28210ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JAMES P COLEMAN
PRESIDENT5.00XX000
DR ROBERT HIGGINS
DIRECTOR0.30X000
GEORGE M CHATFIELD III
SEC/TREAS/EXEC DIR40.00XX140499028025
MICHELLE FISH
DIRECTOR0.30X000
MICHAEL J HARRISON
DIRECTOR0.30X000
REBECCA C DAVIS
MARKETING DIRECTOR40.0015861203268X
SONDRA C KEY
MARKETING DIRECTOR40.0011710000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org416211TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation31293TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
THE CYPRESS OF CHARLOTTE LLC
20 LADY SLIPPER LANEHILTON HEAD ISLANDSC29926CONTRACTUAL OVERHEAD-SEE STMT O1336662
LIFE CARE SERVICES LLC
400 LOCUST ST SUITE 820DES MOINESIA50309MANAGEMENT SERVICES516097
HERITAGE HEALTHCARE INC
536 OLD HOWELL ROADGREENVILLESC29615HEALTHCARE PROVIDER376146
TOMMIE FARMER
7708 DENBUR DRIVECHARLOTTENC28215BEAUTY SALON OPERATOR143208
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEMBER DUES62300063970716397071
HEALTH SERVICE62300030745483074548
HOME HEALTH SERVICE62161015169931516993
OTHER MEMBER FEES623000451137451137
FieldValueIRS element (for citing)
Total Program Service Revenue11439749TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column43999TotalRevenueColumn
Exclusion$43,999ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1321711Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1249028Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities72683Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column72683TotalRevenueColumn
Exclusion$72,683ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11556431TotalRevenueColumn
Related Or Exempt Function Income11439749RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$116,682ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total168524Total
Management And General168524ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5521017Total
Program Services5200854ProgramServices
Management And General320163ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total28344Total
Program Services18807ProgramServices
Management And General9537ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total695290Total
Program Services612820ProgramServices
Management And General82470ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total461912Total
Program Services443419ProgramServices
Management And General18493ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1320462Total
Program Services68135ProgramServices
Management And General1252327ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total9922Total
Management And General9922ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total54250Total
Management And General54250ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total142425Total
Management And General142425ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total25337Total
Program Services25183ProgramServices
Management And General154ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total24668Total
Management And General24668ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4277Total
Management And General4277ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total297221Total
Program Services284870ProgramServices
Management And General12351ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total14253Total
Program Services10324ProgramServices
Management And General3929ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total239Total
Management And General239ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total203988Total
Management And General203988ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total78053Total
Management And General78053ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD COST12700291270029
MEDICAL EXPENSES522608522608
SUPPLIES25117323080820365
ACTIVITIES156974156974

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total385353Total
Program Services244470ProgramServices
Management And General140883ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11636319Total
Program Services9089301ProgramServices
Management And General2547018ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY500BOY
EOY500EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY422677BOY
EOY621087EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY585253BOY
EOY721417EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY83047BOY
EOY92256EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY250408BOY
EOY269198EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2039977LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1232744LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY958347BOY
EOY807233EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1086348BOY
EOY815402EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1340728BOY
EOY1582213EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8912BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4736220BOY
EOY4909306EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY955033BOY
EOY1099526EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY89188BOY
EOY75974EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1651309BOY
EOY1851105EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2695530BOY
EOY3026605EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2040690BOY
EOY1882701EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2040690BOY
EOY1882701EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4736220BOY
EOY4909306EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-79888ReconcilationRevenueExpenses
Reconcilation Other Changes-78101ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2039977OtherCostOrOtherBasis
Depreciation1232744Depreciation
Book Value807233BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings807233TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINSURANCE RESERVES-CDS & MONEY MKTDescription
Book Value1582213BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities1582213TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$1,693,882
EMPLOYEE FUNDS$42,572
DUE TO HOMEOWNERS$75,500
CAPITAL LEASE OBLIGATION$39,151
FieldValueIRS element (for citing)
Total Of Amounts1851105TotalOfAmounts
Total Revenue11556431TotalRevenue
Total Expenses11636319TotalExpenses
Excess Or Deficit For Year-79888ExcessOrDeficitForYear
Net Unrealized GL On Investments-78101NetUnrealizedGLOnInvestments
Total Adjustments-78101TotalAdjustments
Excess Or Deficit Per FS-157989ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11478330TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-78101NetUnrealizedGainsInvestments
Revenue Not Rptd F990-78101RevenueNotRptdF990
Revenue Subtotal11556431RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99011556431TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11636319TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal11636319ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011636319TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE CLUB FOLLOWS THE PROVISIONS OF ACCOUNTING ASC 740-10 AND DETERMINED THAT THE CLUB DID NOT HAVE ANY UNCERTAIN TAX POSITIONS REQUIRING RECOGNITION ON DECEMBER 31, 2011. WITH FEW EXCEPTIONS, THE CLUB IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL TAX AUTHORITIES FOR YEARS BEFORE 2008.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
GEORGE M CHATFIELD III
12064701985200087120193130168524000
REBECCA C DAVIS
646120940000000032680161880000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationFORM 990, PART VII, SECTION A, LINE 5: UNRELATED ORGANIZATION - LIFE CARE SERVICES, LLC PERSONS RECEIVING COMPENSATION - GEORGE M. CHATFIELD,III, SECRETARY/TREASURER; REBECCA DAVIS, MARKETING DIRECTOR COMPENSATION - REFER TO FORM 990, SCHEDULE J, PART IIExplanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CYPRESS OF CHARLOTTE LLCBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipSEE STMT ORelationship
Amount Of Transaction1336662AmountOfTransaction
Description Of TransactionSEE STMT ODescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3THE CYPRESS OF CHARLOTTE CLUB ("CLUB")HAS CONTRACTED WITH LIFE CARE SERVICES, LLC TO PROVIDE SERVICES, INCLUDING MANAGEMENT SERVICES AND EMPLOYEES, TO THE CLUB. THE CLUB HAS AN AGREEMENT WITH THE CYPRESS OF CHARLOTTE, LLC ("COMPANY") TO PROVIDE SUPERVISION AND OVERSIGHT OF THOSE CONTRACTED ACTIVITIES AND EMPLOYEES. THE BOARD IS STILL ULTIMATELY RESPONSIBLE FOR THE CLUB AND MAY TERMINATE THE MANAGEMENT AGREEMENT WITH THE COMPANY SHOULD THE COMPANY BE IN DEFAULT.
FORM 990, PART VI, SECTION A, LINE 6ONE CLASS OF MEMBERS
FORM 990, PART VI, SECTION B, LINE 11NO REVIEW WILL BE CONDUCTED
FORM 990, PART VI, SECTION C, LINE 19THESE DOCUMENTS ARE MADE AVAILABLE THROUGH THE ORGANIZATION'S ANNUAL DISCLOSURE STATEMENT, WHICH IS REQUIRED BY THE NC DEPARTMENT OF INSURANCE, WHICH REGULATES ALL CONTINUING CARE RETIREMENT COMMUNITIES IN THE STATE OF NORTH CAROLINA. ALL CYPRESS MEMBERS, ALL POTENTIAL CYPRESS MEMBERS, AND ANY OTHER INTERESTED PARTIES CAN RECEIVE A COPY OF THE DISCLOSURE STATEMENT UPON REQUEST.
FORM 990, PART VII, SECTION A, COLUMN FTHE ORGANIZATION, IN A FULL TRANSPARENCY POSTURE TO REPORTING, IS REPORTING ALL BENEFITS IN FULL IN COLUMN F, PART VII AND IS NOT APPLYING THE $10,000 PER ITEM EXCEPTION FOR CERTAIN BENEFITS.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -78,101.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C, AUDIT COMMITTEE::THE BOARD ITSELF SERVES AS THE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. THE BOARD IS MADE UP, IN THE MAJORITY, OF INDEPENDENT DIRECTORS WITH NO OTHER AFFILIATION WITH ANY OF THE CYPRESS ENTITIES. THE AUDIT COMMITTEE'S PROCESS OF EVALUATION HAS NOT CHANGED SINCE PRIOR YEAR.
FORM 990, PART I, LINE 6:WE HAVE MEMBERS (RESIDENTS) WHO ARE ELECTED TO SERVE ON ADVISORY COMMITTEES AND OTHER MEMBERS WHO VOLUNTEER THEIR TIME AT OUR NURSING FACILITY READING TO AND VISITING THE SICK.
FORM 990, PART VI, LINES 15A & B:THE PROCESS OF DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR AND HEALTHCARE ADMINISTRATION IS CONDUCTED BY THE ORGANIZATION'S MANAGEMENT COMPANY, LIFE CARE SERVICES, LLC OF DES MOINES, IOWA, SUBJECT TO THE APPROVAL OF THE BOARD. THE EXECUTIVE DIRECTOR AND HEALTHCARE ADMINISTRATOR ARE LIFE CARE SERVICES, LLC EMPLOYEES (I.E. THEY ARE NOT EMPLOYEES OF THE CYPRESS OF CHARLOTTE).
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF PERSON: THE CYPRESS OF CHARLOTTE, LLC (B) RELATIONSHIP OF INTERESTED PERSON AND ORGANIZATION: BOARD PRESIDENT JAMES COLEMAN INDIRECTLY OWNS 25% OF THE CYPRESS OF CHARLOTTE, LLC (D) DESCRIPTION OF TRANSACTION: THE CYPRESS OF CHARLOTTE, LLC PLANNED, DESIGNED, AND BUILT THE CYPRESS OF CHARLOTTE COMMUNITY. THE BUSINESS MODEL ALLOWED THE COMMUNITY TO BE BUILT AND OPERATED WITHOUT DEBT BY ALLOWING FOR AN OVERHEAD PAYMENT EQUAL TO 10% OF THE OPERATING EXPENSES TO BE PAID TO THE LLC. THIS STRUCTURE ALLOWS THE CYPRESS OF CHARLOTTE CLUB MEMBER FEES TO BE LOWER THAN 95% OF COMPARABLE COMMUNITIES, WHILE AT THE SAME TIME PROVIDING A HIGHER LEVEL OF FINANCIAL SECURITY FOR THE MEMBERS OF THE COMMUNITY. THE AMOUNTS PAID TO THE CYPRESS OF CHARLOTTE, LLC ARE SET AS FIXED PERCENTAGES ESTABLISHED WHEN THE COMMUNITY WAS STARTED. THE SAME PAYMENTS WOULD BE MADE TO THE LLC REGARDLESS OF MR. COLEMAN'S PRESENCE ON THE BOARD, NOR ARE THEY TIED TO THE REVENUE OF THE CLUB.
FORM 990, SCHEDULE R, PART III AND PART IV:THE NORTH CAROLINA DEPARTMENT OF INSURANCE ISSUED THE LICENSE TO OPERATE A CONTINUING CARE RETIREMENT COMMUNITY COLLECTIVELY TO THE CYPRESS OF CHARLOTTE CLUB ("CLUB"), THE CYPRESS OF CHARLOTTE OWNERS' ASSOCIATION ("OA"), AND THE CYPRESS OF CHARLOTTE, LLC ("COMPANY"). THE DEPARTMENT OF INSURANCE REQUIRES THESE THREE LEGAL ENTITIES WORK TOGETHER TO FULFILL THE MISSION OF THE CYPRESS OF CHARLOTTE. THIS STRUCTURE ALLOWS THE COMPANY TO CONTRIBUTE REAL AND PERSONAL PROPERTY TO THE PROJECT WITHOUT DEBT TO EITHER THE CLUB OR THE OA, ALLOWING FOR MUCH GREATER FINANCIAL SECURITY AND LOWER MEMBER FEES THAN ANY COMPARABLE COMMUNITIES. IN RETURN, THE COMPANY RECOVERS ITS INVESTMENT THROUGH THE OVERHEAD FEES PAID BY THE COMMUNITY. THE TERMS OF AND DETAILS OF THE OVERHEAD PAYMENT ARE PROVIDED TO AND ACKNOWLEDGED BY MEMBERS WHEN THEY JOIN THE COMMUNITY. THIS MODEL ALIGNS THE INTERESTS OF THE CLUB, OA, COMPANY AND MEMBERS TO ENSURE THE COMMUNITY CONTINUES TO GROW AND THRIVE. THE SUCCESS OF THIS STRUCTURE CAN BE SEEN IN A 95% MEMBER SATISFACTION RATE AND SIGNIFICANT INCREASES IN THE VALUE OF THE RESIDENCES UPON RESALE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1THE CYPRESS OF CHARLOTTE LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13442 CYPRESS CLUB DRAddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28210ZIPCode
FieldValueIRS element (for citing)
Primary ActivityMGT SERVICES & CO-LICENSEE OF CYPRESS OF CHARLOTTE.PrimaryActivity
Legal Domicile StateNCLegalDomicileState
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1THE CYPRESS OF CHARLOTTE OWNERS' ASSOCIATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13442 CYPRESS CLUB DRIVEAddressLine1
CityCHARLOTTECity
StateNCState
ZIP Code28210ZIPCode
FieldValueIRS element (for citing)
EIN562205827EIN
Primary ActivityHOME OWNERS ASSOC AND CO-LICENSEE OF THE CYPRESS OF CHARLOTTE.PrimaryActivity
Legal Domicile StateNCLegalDomicileState
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1THE CYPRESS OF CHARLOTTE OWNERS'ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeOTransactionType
Amount Involved1693882AmountInvolved
Method Of Amt DeterminationCLUB INCOME/EXPENSE ALLOCATIONMethodOfAmtDetermination